Brontekst bekijken van PressureUlcer-v3.1(2017EN)

==General information==
Name: '''nl.zorg.PressureUlcer''' [[Bestand:NL.png|link=DecubitusWond-v3.1(2017NL)]]<BR>
Version: '''3.1''' <br>
HCIM Status:Final<br>
Release: '''2017''' <br>
Release status: Prepublished<br>
Release date: 04-09-2017
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|- 
|style="width:250px; "|DCM::CoderList||Werkgroep RadB Verpleegkundige Gegevens
|- 
|style="width:250px; "|DCM::ContactInformation.Address||*
|- 
|style="width:250px; "|DCM::ContactInformation.Name||*
|- 
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|- 
|style="width:250px; "|DCM::ContentAuthorList||Werkgroep RadB Verpleegkundige Gegevens
|- 
|style="width:250px; "|DCM::CreationDate||7-7-2014
|- 
|style="width:250px; "|DCM::DeprecatedDate||
|- 
|style="width:250px; "|DCM::DescriptionLanguage||nl
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Name||NFU & V&VN
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|- 
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.19.1
|- 
|style="width:250px; "|DCM::KeywordList||Decubitus, doorligwond, wond
|- 
|style="width:250px; "|DCM::LifecycleStatus||Final
|- 
|style="width:250px; "|DCM::ModelerList||Werkgroep RadB Verpleegkundige Gegevens
|- 
|style="width:250px; "|DCM::Name||nl.zorg.DecubitusWond
|- 
|style="width:250px; "|DCM::PublicationDate||04-09-2017
|- 
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|- 
|style="width:250px; "|DCM::ReviewerList||Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::RevisionDate||04-09-2017
|- 
|style="width:250px; "|DCM::Superseeds||nl.zorg.DecubitusWond-v3.0
|- 
|style="width:250px; "|DCM::Version||3.1
|- 
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

<u>Publicatieversie 1.0</u> (01-07-2015)

<u>Publicatieversie 3.0</u> (01-05-2016)
{|
|}

<u>Publicatieversie 3.1</u> (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-530 | ZIB-530 ]]
|Verwijzingen naar de bouwsteen Verpleegkundige Interventie verwijderd
|-
|style="width:75px; "|[[ZIBIssues#ZIB-533 | ZIB-533 ]]
|Toestaan dat de bouwsteen meer dan één foto kan bevatten
|-
|style="width:75px; "|[[ZIBIssues#ZIB-549 | ZIB-549 ]]
|De Engelse naam van de bouwsteen en het rootconcept zijn niet correct
|-
|style="width:75px; "|[[ZIBIssues#ZIB-585 | ZIB-585 ]]
|Toevoegen concept Lateraliteit aan het concept Anatomische Locatie
|}
.
</div>

==Concept==
A pressure ulcer is localized damage to the skin and/or underlying tissue, often over a bony prominence, as a result of pressure or pressure combined with friction.<BR>
A pressure ulcer involves a major disease burden and reduces the quality of life for a patient. Adequate risk evaluation, prevention and treatment of pressure ulcers can lead to a fewer incidences and prevalence of pressure ulcers.<BR>

==Purpose==
Information on the pressure ulcer is of importance in starting or continuing the best possible wound treatment, curatively and preventatively, and to be able to properly monitor the wound healing process.

==Evidence Base==
To describe the wound, there are 4 categories, based on the international NPUAP/EPUAP decubitus classification system:<BR>
<ul>
 <li>Category 1: non-removable redness of intact skin;</li>
 <li>Category 2: loss of a partial layer of skin or blister;</li>
 <li>Category 3: loss of an entire layer of skin (visible fat);</li>
 <li>Category 4: loss of an entire layer of tissue (visible muscle/bone).</li>
</ul>

==Information Model==
<BR>
<imagemap> Bestand:PressureUlcer-v3.1Model(EN).png | center 
rect 340 504 560 554 [[#DecubitusAnatomicalLocationCodelist]]
rect 194 389 304 459 [[#12318]]
rect 384 386 516 456 [[#10087]]
rect 384 200 516 280 [[#10088]]
rect 607 386 739 456 [[#10089]]
rect 607 269 739 339 [[#10090]]
rect 593 504 753 554 [[#DecubitusCategoryCodelist]]
rect 607 35 739 105 [[#10177]]
rect 103 503 304 553 [[#DecubitusWoundLateralityCodelist]]
rect 193 35 303 105 [[#10724]]
rect 376 35 524 105 [[#10681]]
rect 193 152 303 222 [[#10725]]
rect 193 269 303 339 [[#10726]]
rect 607 152 739 222 [[#10727]]
desc none
</imagemap>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" 
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:19.1.1
|colspan ="6" style ="padding-left: 0px"|<span Id=10088 Title="NL: DecubitusWond">[[Bestand: arrowdown.png | 10px | link=]]PressureUlcer</span>
|
|Root concept of the DecubitusWound information model. This root concept contains all data elements of the DecubitusWound information model.
|
{|
|-
|<span Title="Codesystem: SNOMED CT"> 399912005 Pressure ulcer</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CO.png| 16px | link=]]
||NL-CM:19.1.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10089 Title="NL: DecubitusCategorie">[[Bestand: arrowright.png | 10px | link=]]DecubitusCategory</span>
|1
|Description of the condition of the pressure ulcer, ranging from category 1 - 4.
|
{|
|-
|<span Title="Codesystem: LOINC"> 45780-4 Pressure ulcer stage </span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#DecubitusCategoryCodelist]]||[[#DecubitusCategoryCodelist|DecubitusCategoryCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:19.1.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10177 Title="NL: OntstaansDatum">[[Bestand: arrowright.png | 10px | link=]]DateOfOnset</span>
|0..1
|The date on which the pressure ulcer appeared.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:19.1.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10087 Title="NL: AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AnatomicalLocation</span>
|0..1
|The location of the decubitus wound on the body.
|
{|
|-
|<span Title="Codesystem: SNOMED CT"> 363698007 Finding site</span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#DecubitusAnatomicalLocationCodelist]]||[[#DecubitusAnatomicalLocationCodelist|DecubitusAnatomicalLocationCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:19.1.13
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=12318 Title="NL: Lateraliteit">[[Bestand: arrowright.png | 10px | link=]]Laterality</span>
|0..1
|Laterality adds information about body side to the anatomic location, <i>e.g.</i> left
|
{|
|-
|<span Title="Codesystem: SNOMED CT"> 272741003 Laterality</span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#DecubitusWoundLateralityCodelist]]||[[#DecubitusWoundLateralityCodelist|DecubitusWoundLateralityCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:19.1.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10681 Title="NL: DatumLaatsteVerbandwissel">[[Bestand: arrowright.png | 10px | link=]]DateOfLastDressingChange</span>
|0..1
|The date on which the dressing was last changed.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:19.1.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10724 Title="NL: Wondlengte">[[Bestand: arrowright.png | 10px | link=]]WoundLength</span>
|0..1
|The length of the decubitus wound.
|
{|
|-
|<span Title="Codesystem: LOINC"> 39126-8 Length of Wound</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:19.1.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10725 Title="NL: Wondbreedte">[[Bestand: arrowright.png | 10px | link=]]WoundWidth</span>
|0..1
|The width of the decubitus wound.
|
{|
|-
|<span Title="Codesystem: LOINC"> 39125-0 Width of Wound</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:19.1.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10726 Title="NL: Wonddiepte">[[Bestand: arrowright.png | 10px | link=]]WoundDepth</span>
|0..1
|The depth of the decubitus wound.
|
{|
|-
|<span Title="Codesystem: LOINC"> 39127-6 Depth of Wound</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ED.png| 16px | link=]]
||NL-CM:19.1.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10727 Title="NL: WondFoto">[[Bestand: arrowright.png | 10px | link=]]WoundImage</span>
|0..*
|A photo of the decubitus wound as visual information.
|
{|
|-
|<span Title="Codesystem: LOINC"> 72170-4 Photographic image</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:19.1.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=10090 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|A comment of the decubitus wound.
|
{|
|-
|<span Title="Codesystem: LOINC"> 48767-8 Annotation comment</span>
|}
|
|}
Columns Concept and DefinitionCode: hover over the values for more information<BR>
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="428px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Decubitus</b></font><font color=#FFFFFF><b>Wond</b></font>
|-style=vertical-align:top;
| style="width: 44%; "|AnatomischeLocatie
| style="width: 56%; "|Hiel
|-style=vertical-align:top;
| style="width: 44%; "|Lateraliteit
| style="width: 56%; "|Links
|-style=vertical-align:top;
| style="width: 44%; "|DecubitusCategorie
| style="width: 56%; "|Decubitus categorie 2
|-style=vertical-align:top;
| style="width: 44%; "|Wondlengte
| style="width: 56%; "|3 cm
|-style=vertical-align:top;
| style="width: 44%; "|Wondbreedte
| style="width: 56%; "|2 cm
|-style=vertical-align:top;
| style="width: 44%; "|Wonddiepte
| style="width: 56%; "|<noWiki>-</noWiki>
|-style=vertical-align:top;
| style="width: 44%; "|OntstaansDatum
| style="width: 56%; "|01-09-2014
|-style=vertical-align:top;
| style="width: 44%; "|Toelichting
| style="width: 56%; "|Blaar met vocht op hiel.
|}

==References==
1. V&amp;VN (2011) <i>Landelijke multidisciplinaire richtlijn. Decubitus preventie en behandeling. </i>[Online] Beschikbaar op:<font color="#0000ff"><u>www.diliguide.nl/document/1613/file/pdf/</u></font> [Geraadpleegd: 13 februari 2015]

== Valuesets ==
=== DecubitusAnatomicalLocationCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.2
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Codesystem name||Codesystem OID
|-style="vertical-align:top; "
|SNOMED CT: < 442083009 <noWiki>|</noWiki>Anatomical or acquired body structure<noWiki>|</noWiki>
|SNOMED CT
|2.16.840.1.113883.6.96
|}

=== DecubitusCategoryCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.1
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Conceptvalue
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Pressure ulcer stage 1
|421076008
|1
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 1
|-style="vertical-align:top; "
|Pressure ulcer stage 2
|420324007
|2
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 2
|-style="vertical-align:top; "
|Pressure ulcer stage 3
|421927004
|3
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 3
|-style="vertical-align:top; "
|Pressure ulcer stage 4
|420597008
|4
|SNOMED CT
|2.16.840.1.113883.6.96
|Decubitus categorie 4
|}

=== DecubitusWoundLateralityCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.19.1.3
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Left
|7771000
|SNOMED CT
|2.16.840.1.113883.6.96
|Links
|-style="vertical-align:top; "
|Right
|24028007
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts
|-style="vertical-align:top; "
|Right and left
|51440002
|SNOMED CT
|2.16.840.1.113883.6.96
|Rechts en links
|}


==This information model in other releases==
<ul>
<li>[[PressureUlcer-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
<li>[[PressureUlcer-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
</ul>
==More on this information model==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.19.1&effectiveDate=2017-09-04T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
</ul>
This information model is also available as [[Media:nl.zorg.PressureUlcer-v3.1(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.PressureUlcer-v3.1(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Prerelease 2017 #1 <BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
This page is generated on 30/11/2017 13:24:33 <BR>
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>